Individual provider Active NPI

Daniel Jeffrey Casselman, D.C.

  • Chiropractor
  • Keego Harbor, MI
National Provider Identifier
1205218583
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010335 Issued in MI
Practice address
2141 Cass Lake Rd Ste 101102
Keego Harbor, MI 48320-1270
Phone
(248) 681-3090
Fax
(248) 681-3891
NPI assigned
Jun 23, 2015
Last updated
Feb 19, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301010335 MI Primary

Addresses

Primary practice location

2141 Cass Lake Rd Ste 101102
Keego Harbor, MI 48320-1270

Mailing address

2141 Cass Lake Rd Ste 101102
Keego Harbor, MI 48320-1270
Phone (248) 681-3090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150723007156 MI Practitioner - Chiropractic 1456664267 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2141 Cass Lake Rd
Suite 101102
Keego Harbor, MI 48320-1270
Phone (248) 681-3090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Casselman Chiropractic PC Chiropractor CurrentSince Apr 8, 2019 Accepting new patients
Porter & Clark Chiropractic PLLC Chiropractor CurrentSince Jun 24, 2015 Accepting new patients
Awan and Associates PC PastSince Jun 24, 2015 Accepting new patients

Locations

29100 Gateway Blvd
Ste 100
Flat Rock, MI 48134
Phone (734) 379-9200

2141 Cass Lake Rd
Ste 101
Keego Harbor, MI 48320
Phone (248) 681-3090

2141 Cass Lake Rd
Ste 101102
Keego Harbor, MI 48320
Phone (248) 681-3090

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1205218583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 CASS LAKE RD STE 101102",
            "city": "KEEGO HARBOR",
            "state": "MI",
            "postal_code": "483201270",
            "telephone_number": "248-681-3090",
            "fax_number": "248-681-3891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 CASS LAKE RD STE 101102",
            "city": "KEEGO HARBOR",
            "state": "MI",
            "postal_code": "483201270",
            "telephone_number": "248-681-3090",
            "fax_number": "248-681-3891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSELMAN",
        "first_name": "DANIEL",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-23",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keego Harbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.